Year 2024 / Volume 116 / Number 1
Letter
An unusual cause of life-threatening upper gastrointestinal bleeding

54-55

DOI: 10.17235/reed.2023.9645/2023

Min Li, Chaowu Chen, Denghao Deng, Xiufan Ni, Jian Yin, Lei Chen, Zhen Zhu,

Abstract
A previously healthy 56-year-old female was hospitalized with intermittent melena and transient syncope for 1-month duration. Physical examination on admission showed heart rate was 105 beats per minute and blood pressure was 89/55 mmHg. Her hemoglobin was 6.7 g/dl. She received fluid infusion, blood transfusion, acid suppression and hemostasis treatment. Abdominal enhanced computed tomography (CT) demonstrated a well-defined mass with uniform adipose density in the antrum measuring 4 × 5 cm. Gastroscopy revealed a giant submucosal tumor with superficial ulceration in anterior wall of the gastric antrum. Endoscopic ultrasound (EUS) showed a homogeneous, well-circumscribed, hyperechoic mass originated from the submucosa layer. Distal partial gastrectomy was performed. Postoperative histopathology examination of the resected specimen revealed the tumor was composed of closely arranged and uniformly shaped proliferative mature adipocytes, which located in the submucosa layer with superficial mucosal ulcer. The patient was diagnosed as giant gastric lipoma with superficial ulcer and no symptoms was observed in 3 months follow-up.
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References
1. Cappell M S, Stevens C E, Amin M. Systematic review of giant gastric lipomas reported since 1980 and report of two new cases in a review of 117110 esophagogastroduodenoscopies. World J Gastroenterol 2017;23(30):5619-5633. DOI: 10.3748/wjg.v23.i30.5619.
2. Lee KJ, Kim GH, Park DY, et al. Endoscopic resection of gastrointestinal lipomas: a single-center experience. Surg Endosc 2014;28(1):185-192. DOI: 10.1007/s00464-013-3151-9.
3. Thompson WM, Kende AI, Levy AD. Imaging characteristics of gastric lipomas in 16 adult and pediatric patients. AJR Am J Roentgenol 2003;181(4):981-985. DOI: 10.2214/ajr.181.4.1810981.
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Li M, Chen C, Deng D, Ni X, Yin J, Chen L, et all. An unusual cause of life-threatening upper gastrointestinal bleeding. 9645/2023


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Publication history

Received: 04/04/2023

Accepted: 10/04/2023

Online First: 19/04/2023

Published: 11/01/2024

Article Online First time: 15 days

Article editing time: 282 days


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